Study on the Therapeutic Mechanism of Lumbar Disc Herniation Treated by Sling and Massage Exercise Technique

Objective:To explore the clinical effect and therapeutic mechanism of sling and massage exercise technique on lumbar disc herniation(LDH)based on musculoskeletal ultrasonography(MSUS)and surface electromyography.Methods:A total of 236 LDH patients were collected. The eligible patients were divided i...

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Main Authors: LI Li, Qin WANG, Ziyun FENG, Jinglong SUN, Haifeng LU
Format: Article
Language:English
Published: Editorial Office of Rehabilitation Medicine 2019-06-01
Series:康复学报
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Online Access:http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2019.03013
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author LI Li
Qin WANG
Ziyun FENG
Jinglong SUN
Haifeng LU
author_facet LI Li
Qin WANG
Ziyun FENG
Jinglong SUN
Haifeng LU
author_sort LI Li
collection DOAJ
description Objective:To explore the clinical effect and therapeutic mechanism of sling and massage exercise technique on lumbar disc herniation(LDH)based on musculoskeletal ultrasonography(MSUS)and surface electromyography.Methods:A total of 236 LDH patients were collected. The eligible patients were divided into massage treatment group(group A), sling exercise therapy group(group B), and sling and massage exercise technique group(group C), and routine treatment group(group D)by random number table method, with 59 cases in each group. All the above groups were treated for 4 weeks. Japanese Orthopaedic Association(JOA)scores, visual analogue score(VAS), the changes in thickness of local core stable muscles, the mean power frequency(MPF)and the integrate electromyogram(IEGM)were used to evaluate the clinical efficacy before treatment and after four weeks'treatment.Results:The effective rate of group C was higher than that of the other three groups(<italic>P</italic>&lt;0.05). After four weeks'treatment, VAS scores were all decreased(<italic>P</italic>&lt;0.05), and group C were better than the other three groups(<italic>P</italic>&lt;0.05)respectively. After four weeks'treatment, the JOA scores of the four groups were all higher than those before treatment(<italic>P</italic>&lt;0.05), and group C was superior to the other three groups(<italic>P</italic>&lt;0.05). The thickness of the back muscle, MPF, IEGM of group B and C after treatment were all higher than before. Group C was higher than group B(<italic>P</italic>&lt;0.05). There was no significant difference before and after treatment in group A and D(<italic>P</italic>&gt;0.05).Conclusion:Sling and tuina exercise technique has better effect in relieving pain and improving lumbar motion. This may be related to the increasing thickness of lumbar dorsal muscle and core muscle group, and enhancing muscle endurance and muscle strength of lumbar dorsal muscle for changing the muscle histology and electrophysiology.
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spelling doaj-art-8939daf88b7a4e1e940c43f2908b966a2025-01-14T10:04:30ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282019-06-01291316,2123129218Study on the Therapeutic Mechanism of Lumbar Disc Herniation Treated by Sling and Massage Exercise TechniqueLI LiQin WANGZiyun FENGJinglong SUNHaifeng LUObjective:To explore the clinical effect and therapeutic mechanism of sling and massage exercise technique on lumbar disc herniation(LDH)based on musculoskeletal ultrasonography(MSUS)and surface electromyography.Methods:A total of 236 LDH patients were collected. The eligible patients were divided into massage treatment group(group A), sling exercise therapy group(group B), and sling and massage exercise technique group(group C), and routine treatment group(group D)by random number table method, with 59 cases in each group. All the above groups were treated for 4 weeks. Japanese Orthopaedic Association(JOA)scores, visual analogue score(VAS), the changes in thickness of local core stable muscles, the mean power frequency(MPF)and the integrate electromyogram(IEGM)were used to evaluate the clinical efficacy before treatment and after four weeks'treatment.Results:The effective rate of group C was higher than that of the other three groups(<italic>P</italic>&lt;0.05). After four weeks'treatment, VAS scores were all decreased(<italic>P</italic>&lt;0.05), and group C were better than the other three groups(<italic>P</italic>&lt;0.05)respectively. After four weeks'treatment, the JOA scores of the four groups were all higher than those before treatment(<italic>P</italic>&lt;0.05), and group C was superior to the other three groups(<italic>P</italic>&lt;0.05). The thickness of the back muscle, MPF, IEGM of group B and C after treatment were all higher than before. Group C was higher than group B(<italic>P</italic>&lt;0.05). There was no significant difference before and after treatment in group A and D(<italic>P</italic>&gt;0.05).Conclusion:Sling and tuina exercise technique has better effect in relieving pain and improving lumbar motion. This may be related to the increasing thickness of lumbar dorsal muscle and core muscle group, and enhancing muscle endurance and muscle strength of lumbar dorsal muscle for changing the muscle histology and electrophysiology.http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2019.03013lumbar disc herniationmassagesling exercise therapy musclemusculoskeletal ultrasonographysurface electromyography
spellingShingle LI Li
Qin WANG
Ziyun FENG
Jinglong SUN
Haifeng LU
Study on the Therapeutic Mechanism of Lumbar Disc Herniation Treated by Sling and Massage Exercise Technique
康复学报
lumbar disc herniation
massage
sling exercise therapy muscle
musculoskeletal ultrasonography
surface electromyography
title Study on the Therapeutic Mechanism of Lumbar Disc Herniation Treated by Sling and Massage Exercise Technique
title_full Study on the Therapeutic Mechanism of Lumbar Disc Herniation Treated by Sling and Massage Exercise Technique
title_fullStr Study on the Therapeutic Mechanism of Lumbar Disc Herniation Treated by Sling and Massage Exercise Technique
title_full_unstemmed Study on the Therapeutic Mechanism of Lumbar Disc Herniation Treated by Sling and Massage Exercise Technique
title_short Study on the Therapeutic Mechanism of Lumbar Disc Herniation Treated by Sling and Massage Exercise Technique
title_sort study on the therapeutic mechanism of lumbar disc herniation treated by sling and massage exercise technique
topic lumbar disc herniation
massage
sling exercise therapy muscle
musculoskeletal ultrasonography
surface electromyography
url http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2019.03013
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AT jinglongsun studyonthetherapeuticmechanismoflumbardischerniationtreatedbyslingandmassageexercisetechnique
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